THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND
NPI 1497348379
Clinic/Center - Multi-Specialty in Raceland, LA

Q: What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since February 11, 2021CLIA 19D2248045 · Microscopy

4560 HIGHWAY 1 STE 3, RACELAND, LA 70394(985) 435-4831(985) 449-2513 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Jun 7, 2023, May 13, 2021 and 2 more (5 updates tracked since 2021).

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About Thibodaux Regional Multi-specialty Clinic-raceland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIBODAUX REGIONAL MULTI-SPECIALTY CLINIC-RACELAND (NPI 1497348379) is a healthcare organization registered as a multi-specialty in Raceland, Louisiana and active in the NPI registry since February 2021. The organization holds a CLIA Microscopy certificate valid through January 10, 2028 and lists Kim Legendre Boudreaux, Contract Manager, as its authorized official.

NPPES Registry Identity

NPI1497348379

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameTHIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION

Location Address4560 HIGHWAY 1 STE 3Raceland, LA 70394-2779

Mailing Address602 N Acadia RdThibodaux, LA 70301-4823 · (985) 251-4250 · Fax (985) 251-4251

Phone(985) 435-4831

Fax(985) 449-2513

Organization SubpartNo

Authorized OfficialKim Legendre BoudreauxContract Manager · (985) 493-4907

Enumeration DateFebruary 11, 2021

Last NPPES UpdateSeptember 5, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1497348379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedUrologyTaxonomy 208800000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

4560 HIGHWAY 1 STE 3, Raceland, LA 70394

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Other Names 1

Doing Business AsThibodaux Regional Multi-specialty Clinic-raceland

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D2248045

Thibodaux Regional Multi-Specialty Clinic-Raceland · Raceland, LA

Active · expires Jan 10, 2028

CLIA Number19D2248045

Laboratory TypePhysician Office

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorStephanie Hughes

Laboratory Phone(985) 493-4742

Laboratory LocationThibodaux Regional Multi-Specialty Clinic-Raceland4560 Hwy 1, Suite 3, Raceland, LA 70394

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thibodaux Regional Network Development Corporation's NPI number?

The NPI number for Thibodaux Regional Network Development Corporation is 1497348379. It was assigned to this organization in the NPPES registry on February 11, 2021. The provider is doing business as Thibodaux Regional Multi-Specialty Clinic-Raceland.

Where is Thibodaux Regional Network Development Corporation located?

Thibodaux Regional Network Development Corporation is located at 4560 Highway 1 Ste 3, Raceland, LA 70394. The listed phone number is (985) 435-4831.

What is Thibodaux Regional Network Development Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Thibodaux Regional Network Development Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 19D2248045) is associated with this NPI, valid through January 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thibodaux Regional Network Development Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Network Development Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thibodaux Regional Network Development Corporation was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.